SAREETA SHAH
NPI 1710768288
Physician Assistant in Jacksonville, FL

Q: What is Sareeta Shah's NPI number?

The NPI number for Sareeta Shah is 1710768288. It was assigned to this individual provider in the NPPES registry on October 11, 2023.

Q: What is Sareeta Shah's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sareeta Shah was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 11, 2023PECOS Enrolled

6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216(904) 245-8910 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Sareeta Shah NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAREETA SHAH (NPI 1710768288) is an individual physician assistant in Jacksonville, Florida, licensed in California (PA63367) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710768288

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSAREETA SHAH

Location Address6675 CORPORATE CENTER PKWY STE 115Jacksonville, FL 32216-8088

Mailing Address8680 Baymeadows Rd E Apt 528Jacksonville, FL 32256-3988 · (732) 687-0085

Phone(904) 245-8910

Sole ProprietorNo

Enumeration DateOctober 11, 2023

Last NPPES UpdateJanuary 29, 2024

NPPES CertifiedJanuary 29, 2024

✔ NPI 1710768288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA63367

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6675 CORPORATE CENTER PKWY STE 115, Jacksonville, FL 32216

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sareeta Shah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN VINOMON

Physician Assistant